Associate Director - Legal Entity Licensing

Primary Responsibilities

• Leads, mentors, and develops a team of licensing professionals
• Sets clear expectations, performance goals, and accountability standards while fostering a high-performing, consultative team culture
• Serves as a subject matter expert for licensing requirements and provides guidance to licensing analysts
• Demonstrated experience researching, interpreting, and applying state-specific licensing and regulatory requirements to support compliant business operations
• Independently analyzes and makes informed licensing decisions and recommendations that balance regulatory compliance, operational feasibility, and business strategy
• Participates in business discussions and provides concise, risk-based licensing perspectives
• Escalates material licensing risks, gaps, or delays with clear options and recommended paths forward
• Supports acquisitions, expansions, and new product launches by assessing licensing implications and timelines and developing integration pathways
• Represents the organization in audits or licensing inquiries as needed
• Oversees and monitors team metrics to ensure accuracy and timeliness
• Ensures quality controls, documentation standards, and audit-ready records are maintained
• Identifies process improvements and implements scalable approaches to manage high licensing volume
• Personally completes or directly oversees complex, high-risk, or escalated licensing filings when required

Required Qualifications

• 5+ years of experience in regulatory licensing within healthcare, insurance, financial services, with a strong emphasis on Third Party Administrator (TPA), Utilization Review (UR), and Pharmacy Benefit Manager (PBM) licensing.
• Solid experience interfacing directly with state and federal regulators
• Demonstrated experience as a people leader, including managing managers and/or senior professionals
• Proven ability to exercise independent judgment and make licensing determinations in ambiguous or evolving regulatory environments
• Proven ability to consult effectively with senior leaders and influence decision-making without direct authority

Preferred Qualifications

• Paralegal certificate, associate degree, or equivalent legal training
• Experience supporting multi-state operations and complex organizational structures
• Solid understanding of compliance risk management frameworks